Newborn Medicine

Sites: CHMC
Director(s): Anne Hansen, Katherine O'Donnell
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: CHMC - Children's Hosp Medical Center (7)
Open to Exclerks: Yes (may be restricted for international students)
Description: This course will introduce students to the normal physiological and biochemical adaptations involved in the transition from fetus to newborn and acquaint the student with the recognition and treatment of major disease states that result from prematurity, congenital anomalies, infection, asphyxia, and other abnormal perinatal conditions. Particular focus will be paid to integrating underlying basic science principles to the pathobiology of these disease processes. Students will work closely with the medical team including Neonatal Nurse Practitioners and Fellows with daily supervision and feedback by an Attending Neonatologist. They will follow 1-3 patients per day. During daily work rounds, the student will present pertinent overnight events, physical exam findings, interpret lab data and formulate a plan of management with guidance from the medical team. They will write daily progress notes in the medical record, including admission and discharge notes, and participate in critical care procedures and family education. The student will attend Neonatology conferences including daily Intern Core Lectures in Newborn Medicine, and weekly Neonatology Grand Rounds, Advanced Fetal Care Conference, Newborn Epidemiology and Clinical Research Seminar Series, Newborn Medicine Research Seminar Series, and monthly Morbidity and Mortality meetings. There will be opportunities to attend deliveries, surgeries, the Infant Healthy Lung Development Clinic, Infant Follow-up Clinic, as well as take overnight call. In addition, students will have the opportunity to participate in a unique multidisciplinary crisis simulation training program, mock codes and be certified for NRP. These conferences and clinical sessions are designed to enhance clinical decision making and extend and fortify the student's knowledge of perinatal and neonatal disease processes. Students are expected to give a formal case conference about a patient or problem that they encountered with particular emphasis placed on practicing evidence-based medicine and in understanding basic science and physiology as it applies to the clinical problem.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Discussing basic science is a key component of the weekly Newborn Medicine Research Seminar Series, while discussing evidence-based practice is a key component of the Neonatology Grand Rounds and the Newborn Epidemiology and Clinical Research Seminar Series, which all students attend. Students are expected to incorporate basic science and evidence-based practice into their formal end-of-rotation case presentation.
Grade Criteria:
Honors with Distinction: Using the HMS evaluation format, student is consistently above the appropriate level and essentially functions at the level of an intern or resident, displaying mature clinical assessment and decision making skills, initiative, and independence. Honors: Using the HMS evaluation format, student is most often above appropriate level with several areas that are consistently above the appropriate level, displaying advanced clinical assessment and decision making skills, initiative and relative independence. Satisfactory: Using the HMS evaluation format, student is at the expected level for their training with occasional areas that are most often above the appropriate level. Unsatisfactory: Using the HMS evaluation format, student is consistently below the appropriate level, or does not improve in the latter half of the rotation, despite issues that have been discussed during the feedback session half-way through the rotation.